Coronial

25 results for surgical debridement

SAhospital2019-08-30

Coroner's Finding: SHUEARD Braydon Adrian

60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…

…cols. The ulcers became infected and he deteriorated rapidly, requiring hospitalisation where he received surgical debridement and medical management before transitioning to comfort care. The coroner found the care at bo…

psychiatrygeneral medicinehaloperidol
VIChospital2012-04-05

Finding into death of Abdullah Kocoglu

4y · Male·Complications of cutaneous thermal burn injuries

…ining stored household goods. Despite expert medical management including emergency escharatomies, staged surgical debridement, skin grafting and intensive ICU care at Royal Children's Hospital, Abdullah died on 24 April…

plastic and reconstructive surgeryintensive caresystemdelay
QLDaged care2024-10-10

Non-inquest findings into the death of Diane Margaret Crowther

76y · Female·multiple organ failure due to abdominal wall cellulitis (surgically treated)

…t, and failure to escalate deteriorating wounds to hospital contributed to preventable morbidity. Earlier surgical debridement and appropriate hospital management would likely have prevented death.

geriatric medicineplastic and reconstructive surgerydiagnosticcommunicationhydrozole cream
QLDhospital2018-10-24

Statis, Joshua Ryan

12y · Male·Cardiac haemorrhage due to or as a consequence of congenital aortic stenosis (su…

…ic bleeding. He developed a sternotomy wound infection 9 days post-operatively, returned to theatre for debridement with VAC dressing on day 15, and acutely bled 18 days post-operatively. Key clinical lessons: (1) Commu…

cardiothoracic surgerycardiologycommunicationdiagnosticwarfarin
WAhospital2021-09-10

Inquest into the Death of James David HECTOR

47y · Male·bronchopneumonia and upper airway obstruction in a man with end-stage oral cance…

…ancer. He had a 13-year history of squamous cell carcinoma of the mouth with multiple recurrences despite surgical and chemoradiotherapy treatment. At the time of death, he was a remand prisoner. The coroner found he rec…

palliative careoncologyoxycodone
TAShospital2016-08-26

Coroner's Finding: Brook, Jason Mark

45y · Male·massive pulmonary embolism due to deep vein thrombosis of the left leg

…onary embolism secondary to deep vein thrombosis, 15 days after a motorcycle injury in Thailand requiring surgical wound management and foot fracture immobilization. He was discharged with the fracture in a plaster cast …

orthopaedic surgerygeneral surgerymedicationcommunicationenoxaparin
TAShospital2024-11-04

Coroner's Finding: de-identified EK

80y · Male·haemorrhagic stroke caused by Staphylococcus aureus sepsis due to L4/5 discectom…

…eus causing discitis. Despite appropriate diagnosis and aggressive treatment including IV antibiotics and surgical washout, the infection progressed to sepsis, septic shock, hospital-acquired pneumonia, kidney failure, p…

orthopaedic surgeryinfectious diseasesantibiotics
QLDhospital2025-08-11

Inquest into the death of John Reginald Wright

79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…

…bidities. Mr Wright received appropriate medical care throughout his hospitalisation and declined further surgical intervention. The coroner found no suspicious circumstances and no recommendations for preventing similar…

vascular surgerygeneral medicineglicazide
TAShospital2015-02-20

Coroner's Finding: Lucas, Troy Dale

41y · Male·multiple injuries sustained in a motorcycle crash with superimposed infection

Troy Dale Lucas, aged 41, died from multiple injuries sustained in a motorcycle crash on 15 May 2012 in East Devonport, Tasmania. He collided head-on with a Toyota Corolla driven by Jacqueline Roberts-Thompson, who was t…

trauma surgeryintensive care
VIChospital2020-07-07

Finding into death of Marek Koziol

61y · Male·Injuries sustained in motor vehicle collision (pedestrian)

A 61-year-old legally blind man was struck by a motor vehicle while crossing a busy highway with his guide dog. He sustained severe head injuries including subarachnoid and subdural haemorrhage, and diffuse axonal injury…

trauma surgeryintensive care
QLDhospital2011-06-09

Tranby, James Errol

64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…

…is leading to necrotising fasciitis. Critical delays occurred: surgery was delayed 32 hours (justified by surgical scheduling), and more significantly, when he returned on 8 December with markedly elevated white cell cou…

general surgerycolorectal surgerydiagnosticdelayinsulin
SAhospital2013-08-19

Coroner's Finding: WEEKS Ronald Geoffrey

84y · Male·respiratory failure due to hospital-acquired pneumonia

Ronald Geoffrey Weeks, aged 84, died of respiratory failure due to hospital-acquired pneumonia following a hip fracture sustained in a fall at James Nash House psychiatric facility. He was serving an 8-year sentence for …

geriatric medicineorthopaedic surgerysystemdelay
VIChospital2011-09-19

Finding into death of Stephen Johnson

47y · Male·Multiple organ failure due to Aeromonas Sobria sepsis in a man with cirrhosis

Stephen Johnson, a 47-year-old teacher, died from sepsis caused by Aeromonas Sobria bacteria acquired through a cut hand exposure to contaminated farm water. He presented to hospital with non-specific symptoms and elevat…

emergency medicineinfectious diseasesdelay
QLDhospital2016-11-14

Ms H - non-inquest findings

23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…

…ia suggesting UTI), she self-discharged against medical advice on 1 May 2015 before imaging could exclude surgical causes. The hospital was unaware of her OPG guardianship status. She re-presented 2 May with perforated a…

emergency medicinesurgerysystemdiagnosticparacetamol
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…

general practicerheumatologysystem
VICcommunity2015-04-05

Finding into death of James Michael Hoctor

93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…

A 93-year-old man with a history of antibiotic use for a neck abscess developed diarrhoea during hospitalisation. Despite testing negative for Clostridium difficile at St Vincent's Hospital, he was transferred to a rural…

general practiceinfectious diseasesdiagnosticpenicillin
SAhospital2000-07-21

Coroner's Finding: HOWIESON Julie Ann

43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…

43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries and adhesions. A 4-5mm perforati…

gynaecologyanaesthesiadiagnosticdelay
SAcommunity2012-11-15

Coroner's Finding: Edgar Lauren Michelle

28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…

Lauren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 …

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpanadol/paracetamol
VIChospital2020-11-25

Finding into death of Eoghan Jerome Arnold

42y · Male·Hypoxic ischaemic brain injury secondary to cardiac arrest caused by massive pul…

A 42-year-old man died from hypoxic ischaemic brain injury following cardiac arrest due to a massive pulmonary embolism. He sustained a tibial fracture in a motor vehicle accident and underwent external fixation. He deve…

orthopaedic surgeryanaesthesiasystemenoxaparin
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged a…

orthopaedic surgerygeneral medicinesystemdelay

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